INTERMOUNTAIN PSYCHOLOGY LLC is an adult mental health clinic center in Ogden, UT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. INTERMOUNTAIN PSYCHOLOGY LLC NPI is 1174852289. The provider is registered as an organization entity type.
The provider's business location address is:
3544 LINCOLN AVE
SUITE C
OGDEN, UT
ZIP 84401-045
Phone: (801) 913-0098
Fax: (801) 272-3857
The provider's authorized official is Randy Lynn Ryan .
The authorized official title is Registered Agent and has the following contact phone number (801) 913-0098.
The CLIA number assigned to this NPI record is 46D0704676 - community clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/18/2009 and was last updated on 3/16/2010.